Registered Nurse - Ambulatory (Cardiology)

Northwell Health

About The Position

Performs an age-specific plan of care for a designated group of ambulatory cardiology patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. Collaborates with physicians and other health team members to coordinate and implement procedures and treatments. Uses leadership skills and clinical judgment to coordinate patient care and direct or delegate activities of the patient care unit team. The role includes assessing patients’ physiologic and psychosocial health status; identifying patient needs and desired outcomes; creating and documenting individualized plans of care; implementing and evaluating care; administering treatments and medications; supporting patient safety; providing wound and skin care; and educating patients and families. The nurse also collaborates with providers and the care team, assists with procedures, coordinates discharge planning and referrals, and documents patient status, treatment, and responses to care.

Requirements

Graduate from an accredited School of Nursing.
Current license to practice as a Registered Professional Nurse in New York State.
Chinese bilingual ability is required.
Must be enrolled in an accredited BSN program within two years of job entry and obtain a BSN degree within five years of job entry.
Specialized certifications as needed.

Nice To Haves

Bachelor’s Degree in Nursing is preferred.
Prior Telemetry/Cardiology experience is highly preferred.

Responsibilities

Assess patients’ physiologic health status, including performing comprehensive assessments, evaluating pain and mobility, and documenting health status and the plan of care.
Assess patients’ psychosocial health status, including coping mechanisms, comprehension, cultural and ethnic requirements, and support needs; document findings and care plans.
Identify actual and potential patient problems, develop measurable outcomes, establish individualized goals, and determine patient teaching needs.
Formulate and document prioritized plans of care, coordinating the cost-effective use of supplies, equipment, and medication in collaboration with physicians and other health team members.
Implement and revise plans of care; maintain patient safety; administer prescribed treatments; use patient-care equipment; monitor and document patient conditions and responses; and respond effectively to emergencies.
Provide emotional support and maintain a calm, restful atmosphere; communicate with patients, families, and caretakers; participate in discharge planning; provide discharge instructions; coordinate referrals and follow-up resources; and educate patients using teach-back and other evidence-based methods.
Evaluate care effectiveness and patient outcomes, perform variance analysis, contribute to performance improvement, and maintain accurate documentation according to departmental policy.
Collaborate with physicians, providers, and other care team members to plan and carry out treatment; assist with treatments and diagnostic procedures; report changes in patient condition; and delegate assignments using clinical judgment.
Provide wound and pressure ulcer care, perform preventive skin care, apply dressings and compresses, and perform irrigations and other skin-care procedures as needed.
Safely identify, prepare, administer, and document medications, including IV push medications as permitted by department policy; educate patients and significant others about drug and food interactions.
Participate in patient and family education, communicate pertinent assessment information to the care team and appropriate agencies, identify teaching opportunities, coordinate appropriate referrals, and evaluate and document teaching effectiveness.
Perform related duties as required.